PURPOSE: This rule defines requirements to obtain a temporary license to practice pharmacy for persons completing residency programs.

1. (1) Temporary licenses issued under authority granted to the board in section 338.043, RSMo for purposes of completing a residency training or fellowship program shall limit the right of the licensee to practice only in locations approved by the board under the supervision of a pharmacist licensed to practice pharmacy in this state.

   1. (A) The pharmacist license of the supervising pharmacist must be an active, unrestricted license and be in good standing with the board.
   2. (B) All locations where the temporary licensee shall practice must be provided to the board when initially applying for a temporary license and must be updated when changes occur during the licensing period.

2. (2) An applicant for a temporary license for use in completing a postgraduate training program in pharmacy as recognized by the board is required to make application upon a form supplied by the board.

   1. (A) No application will be considered unless it is fully completed and properly attested.
   2. (B) A frontal view portrait photograph which measures two inches by two inches (2" × 2") must accompany the application for a temporary license.
   3. (C) The application shall be submitted along with the appropriate licensure fee as required by the board.

   4. (D) The application must be accompanied by a protocol which will outline the duties of the temporary licensee as well as any documentation concerning affiliations with licensed pharmacies, other institutions or associations, or both. The protocol shall define and provide, at a minimum, the following:

      1. 1. Type of practice to be performed and

a specific job description of professional duties and functions to be completed;

1. 2. Identity of the supervising pharmacist

which includes a statement attesting to the ability and understanding of responsibilities involved;

1. 3. A complete listing of all affiliations to

be utilized during the licensure period; and

1. 4. A complete listing of all locations

where professional services shall occur.

1. (3) In the event that an applicant for temporary licensure is not a graduate of a board approved school or college of pharmacy as outlined in 4 CSR 220-2.030(1), then all the requirements as outlined in 4 CSR 220-2.032 must be completed.

2. (4) A Missouri licensed pharmacist who agrees to supervise a temporary licensee shall conduct general supervision during his/her tenure.

   1. (A) General supervision is defined as supervision required to fulfill the stated requirements of the practice protocol or may be required by the board and to insure appropriate outcomes as to training received or provided. In addition, general supervision requires that the supervisor be available for consultation with the licensee whenever necessary. Any proposed methods for supervising temporary licensees shall be stated in the practice protocol.
   2. (B) General supervision also will include the timely submission of reports to the board as may be required through protocol or by the board in assessing outcomes or adherence to board requirements.
3. (5) The board may terminate a temporary license at its own discretion if, in the opinion of the board, any of the requirements of the board or the approved protocol have not been adhered to. The licensee shall be notified in writing by personal service or certified mail when board action results in the termination of a temporary license.
4. (6) No applicant for a temporary license shall commence practicing until the temporary license is issued.
5. (7) The temporary licensing program is not intended to replace or conflict with any requirements or provisions of 4 CSR 220- 2.030 as regards internship or externship. Students who rotate through a licensed pharmacy or other accredited internship site shall apply for a temporary license when the student is not currently licensed as an intern or registered as a technician. For purposes of this section to qualify for a temporary license the rotation shall be no more than six (6) weeks in length and the student cannot have been previously licensed as an intern by the board.
6. (8) If a temporary licensee desires to acquire a permanent license or desires to practice pharmacy outside of the provisions of this rule, then all provisions as outlined in 4 CSR 220-2.030 must be completed.
7. (9) A temporary license automatically expires at the end of the applicant’s Missouri-based training program identified in the application and protocol. No temporary licensee shall continue to practice pharmacy beyond the expiration date of the license.
8. (10) Temporary licenses may be issued to licensure transfer candidates or licensure examination candidates who successfully complete the requirements for permanent licensure if background criminal checks are not complete.
9. (11) Any temporary license issued in lieu of a permanent license while a criminal background check is completed shall remain in effect until the permanent license is issued or denied. If a permanent license is denied, the board shall inform the applicant in writing of the denial. The temporary license will be considered invalid after notification is sent to the applicant by certified mail.
10. (12) All fees are nonrefundable. AUTHORITY: sections 338.043 and 338.140, RSMo Supp. 1999.* This rule originally filed as 4 CSR 220-2.036. Original rule filed May 24, 1993, effective Dec. 9, 1993. Amended: Filed Nov. 21, 1997, effective June 30, 1998. Amended: Filed March 15, 2000, effective Sept. 30, 2000. Moved to 20 CSR 2220- 2.036, effective Aug. 28, 2006.

*Original authority: 338.043, RSMo 1990, amended 1997 and 338.140, RSMo 1939, amended 1981, 1989, 1997.